Healthcare work has historically been held up as an honorable, admirable career. They are there when we need them most and are literally saving lives. But as burnout and low staffing continues to be highlighted in news reports, it has felt more and more like they are being asked to sacrifice themselves for the greater good.
After several years of this strain, there’s finally a glimmer of good news on healthcare worker burnout: The worst of the crisis appears to be easing. Yet the data also make one thing clear – burnout remains markedly higher than before the pandemic, and its effects are still rippling across patient care, staffing and organizational performance.
For HR leaders, 2026 is a pivotal year to consolidate gains, close the gap to pre-2020 levels, and build resilient systems that protect the workforce long term.
As healthcare administrators know too well, burnout doesn’t just impact individuals – its symptoms impact teams and the organization as a whole. High burnout correlates with higher turnover, reduced clinical capacity, increased safety risks and lower engagement. Addressing it requires systemic, organization-level solutions aligned with your staffing models, operating budgets and patient care goals.
The current state of healthcare worker burnout
The most recent studies paint a complicated picture:
- NIH-linked analyses show an overall burnout prevalence of about 35.4% in 2023 across sampled healthcare workers. While this is down from the 2022 peak, it remains elevated from pre-pandemic baselines.
- CDC data shows that 46% of health workers reported feeling burned out “often” or “very often” in 2022, up from 32% in 2018. This metric reflects a specific frequency measure of burnout feelings and underscores how much things worsened through the pandemic period.
Together, these data suggest that burnout peaked around 2022 and has since improved, but not normalized. But the absolute level of burnout remains substantially higher than in 2018.
Burnout in healthcare workers by role and specialty
Burnout is not uniform. Roles, processes and environment play a clear role in protecting staff or in reinforcing stress. The mix of duties, the level of care needed by patients, documentation demands and staffing models will create different experiences across roles:
- Primary care physicians: Consistently among the highest burnout levels, with rates ranging from 46.2% in 2018 to 57.6% in 2022. Despite some recovery since then, primary care remains a hotspot.
- Nursing (inpatient and outpatient): Persistent pressure from staffing shortages, an aging population and documentation contributes to burnout. Units with frequent boarding, high turnover or inadequate support are especially vulnerable.
- Behavioral and mental health: Service areas in mental and behavioral health saw some of the greatest overall increases in burnout through the pandemic. Ongoing demand and limited resources continue to elevate risk.
- Dental health: Dental professionals also experienced notable increases, reflecting backlogs, infection control complexities, and high productivity pressures.
- Rehabilitation (PT/OT/speech): Rehab reported meaningful increases, tied to increased workload, evolving care pathways, and low staffing.
- Allied health and support staff (e.g., imaging, lab, respiratory, medical assistants, CNAs): Many of these roles experienced higher workload and role expansion with a pace hasn’t decreased.
- Nonclinical administrative roles: Centralized scheduling, revenue cycle, and patient access teams faced intense demand swings, new policy complexity, and high call volumes—factors linked to increased burnout even outside direct patient care.
For HR leaders, the implication is clear: Targeting interventions by role and department will produce better results than one-size-fits-all efforts. Pay particular attention to high-risk groups (primary care, mental health, dental, rehabilitation, nursing units with high acuity or turnover) and to roles with heavy, time-sensitive administrative tasks.
4 reasons why healthcare workers burn out
While burnout drivers vary by organization, several themes consistently emerge in NIH-supported analyses and related research.
1. Staffing shortages and excessive workload
- Chronic understaffing increases patient loads, limits breaks, and forces overtime – conditions strongly associated with burnout.
- Backfill gaps create cascading stress: Team members carry extra duties, they end up covering for unexperienced new hires and handle more frequent crises.
- Even when headcount rebounds, skill mix and experience gaps can sustain pressure.
What to watch: Persistent vacancy rates, use of agency staff, average OT per FTE, missed or delayed breaks and a rising trend in sick calls.
2. Administrative burden and inefficient systems
- eRecord “click burden,” inbox volume, duplicative documentation, prior authorizations and fragmented workflows are among the most cited contributors.
- Low value tasks that pull clinicians away from patient care, sap efficacy and create a disconnect from the mission of their roles.
- Poorly designed handoffs, workarounds, and frequent interruptions accelerate cognitive fatigue.
What to watch: Average inbox messages per clinician per day, time to close tasks, documentation time outside paid hours and work queue backlogs.
3. Lack of control and organizational support
- As our Appreciation Index research found, there is a strong connection between lack of control and feeling unappreciated. It is not surprising then that low schedule control and limited input into decision-making leads to reduced engagement.
- Inconsistent manager support and weak psychological safety can make it harder to raise concerns or propose improvements.
- Exposure to workplace violence and harassment, if not addressed swiftly and visibly, will also erode trust and wellbeing.
What to watch: Access to self-scheduling, manager span of control, ability to participate in shared governance, incident reporting rates and resolution times.
4. Emotional strain and compassion fatigue
- Healthcare workers tend to take responsibility for the suffering of others – at work and often in their personal lives as well.
- Continuous exposure to suffering, moral distress (e.g., inability to provide desired care due to constraints), and complex social determinants of health can weigh heavily.
- Cumulative grief and trauma without structured support manifest as emotional exhaustion and disconnect.
What to watch: Utilization of peer support and counseling, debrief participation, and survey items on emotional exhaustion and meaning in work.
The business impact of burnout in healthcare workers
Burnout’s costs extend well beyond individual distress – it impairs the organization’s capacity to deliver safe, high-quality, financially sustainable care.
Turnover costs and retention challenges
A widely cited analysis estimates that an estimated $4.6 billion in costs are related to turnover and reduced clinical hours from burnout each year in the U.S. That includes recruiting, onboarding, temporary coverage and productivity losses.
Voluntary exits often peak in high-burnout teams; so does internal mobility that leaves some units hollowed out.
Burnout also suppresses discretionary effort and reduces willingness to pick up shifts – undermining staffing resilience.
Patient care quality and safety risks
Research has linked nurse burnout to lower quality of patient care and a higher incidence of adverse events, including more medication errors and patient falls. Burnout is associated with reduced attention, slower response times, and impaired teamwork – conditions that elevate safety risk.
Patient experience scores decline as staff experience worsens, affecting reimbursement in value-based arrangements.
Workforce shortage acceleration
A 2025 Harris poll found that more than half of U.S. healthcare workers plan to switch jobs in 2026. Burnout drives early retirement, career changes and reductions in clinical hours – intensifying shortages in primary care, behavioral health, nursing and allied roles. Training pipelines cannot quickly replace the experience lost, resulting in prolonged recovery times even after hiring rebounds.
What HR leaders can do to combat healthcare worker burnout
Burnout is an organizational problem that requires organizational solutions. Individual resilience programs help, but they cannot compensate for chronic understaffing, poor workflows, or weak leadership practices. Prioritize structural fixes and reinforce them with targeted wellbeing support.
Address staffing and workload issues
- Set safe staffing benchmarks by unit and shift; use data to align census with staffing in real time. While you may not be able to achieve these benchmarks immediately, measure, celebrate, and communicate where you are making progress to give staff hope and aid with resilience.
- Expand float pools and internal gig shifts to reduce agency reliance and improve coverage for peaks and leaves. Build in recognition for those that not only cover shifts but do so with compassion and attention to detail.
- Increase schedule control: implement self-scheduling, predictable rotations, and preference bidding; enable easy, policy-backed shift swaps.
- Create protected break coverage and enforce rest periods between shifts. Don’t let today’s stresses lead to more damaging burnout over time.
- Adjust panel sizes and cap inbox volumes where feasible; consider centralized triage or pooled in-basket teams for primary care.
- Offer retention and preceptor differentials in high-burnout units to stabilize teams.
Streamline administrative processes
- Review processes to reduce low-value documentation: audit templates, remove duplicate fields, and standardize order sets to cut clicks.
- Introduce scribes or ambient documentation where feasible; support asynchronous visit prep to reduce after-hours charting.
- Centralize and automate prior authorization workflows; leverage bots for routine eligibility, forms, and outreach tasks.
- Create quick-win continuous improvement teams - including frontline staff to ensure they feel they have increased control - to redesign handoffs, task routing, and rooming flows.
- Monitor eRecord metrics (after-hours time, inbox load) and staff task queues; treat red flags like safety issues—with root-cause analysis and action plans.
Strengthen leadership support and organizational culture
- One of the top five ways to create appreciation is manager support. Train managers to recognize burnout signs, run effective huddles, coach for workload management, better understand wellbeing benefits available to staff, and escalate barriers quickly.
- Invest in psychologically safe cultures: have managers reinforce the value of speaking up, recognize those that do so, close the loop on feedback, and celebrate small tests of change.
- Implement and enforce zero-tolerance policies for workplace violence; ensure rapid response, post-incident support, and transparent follow-up.
- Invite frontline employees into governance structures so staff directly influence standards, schedules, and workflows and can act as informal leaders within their teams.
- Monitor and adjust supervisory responsibilities so they are achievable; overload at the manager level undermines staff support.
Focus on employee wellbeing
- Ensure that employee wellbeing benefits and resources are centralized and easy to find.
- Look for fun ways to focus on key elements of wellbeing, like sleep hygiene, hydration and mindfulness. Educate about the importance of it, and then host challenges for the team to see who can achieve their wellbeing goals.
- Promote stigma-free access to mental health support: EAP, on-site/virtual counseling, peer support networks, and crisis debriefs.
- Protect time off: ensure PTO approval rates and backfill practices support rest; discourage routine off-the-clock work. Recognize those – especially leaders – that take time off and disconnect from work.
- Design schedules for sleep health: limit consecutive nights, support consistent circadian patterns, and avoid excessive quick turnarounds.
- Offer recovery spaces (quiet rooms), micro-break protocols, and decompression huddles on high-intensity units.
- Support life logistics: childcare stipends or back-up care, transportation or parking benefits, meal support on long shifts.
Foster connection and recognition
- Build regular, specific recognition into daily operations: shift huddles, team boards, and peer-to-peer thanks. Ensure recognition stories focus on the actions that were taken but also on how those actions impact the team, patients, and the mission of the organization.
- Challenge leaders to elevate their own wellbeing while also celebrating what is working – daily verbal thanks for staff, weekly submissions of formal recognition for good work, and use of rewards to add additional impact as available.
- Close the loop with patient gratitude—share patient stories and compliments with teams to reinforce meaning in work.
- Celebrate milestones (certifications, years of service, quality wins) and cross-team collaboration that reduces burdens.
- Use social recognition platforms to amplify wins across sites, locations, and roles to ensure the value of teams within and across the organization is felt.
Combat burnout at your organization with Reward Gateway | Edenred’s all-in-one engagement solution
While staffing models and workflows are the core levers, the right engagement platform can accelerate impact and sustain momentum. Reward Gateway | Edenred helps HR teams operationalize culture, recognition, and wellbeing at scale—right where burnout risk is highest.

Here’s how organizations apply it to burnout priorities:
Streamlined recognition that sticks: Make appreciation frequent and easy – with peer-to-peer kudos, manager spot awards, and public recognition walls – to reinforce teamwork, safety and process improvements that reduce workload.
Centralized wellbeing hub: Aggregate EAP, mental health benefits, financial wellbeing tools, and local resources in one place, so staff can find support fast during and after shifts.
Targeted communications: Reach every role – clinical and nonclinical, desked and deskless – with mobile-friendly updates on staffing initiatives, workflow changes, safety policies and quick wins to build trust.
Listening at the speed of change: Use pulse surveys and always-on feedback to spot hotspots by unit and role. Track indicators like schedule control, administrative burden and manager support; share results transparently with action plans.
Manager enablement: Equip leaders with templates, nudges and best-practice playbooks for recognition cadence, check-ins and psychological safety – so support is consistent across departments.
Meaningful, equitable rewards: Tie points or awards to behaviors that reduce burnout (e.g., mentoring new colleagues, improving handoffs, contributing to process redesigns), ensuring recognition aligns with organizational goals.
Data and insights: See which teams engage with recognition and wellbeing resources, where sentiment is shifting, and where to focus next – complementing your HRIS and quality dashboards.
Learn more about how Reward Gateway | Edenred can help support your programs to make your organization a better place to work with our Employee Experience Platform.
Alexandra Powell